PORTAGE PARK MEDICAL GROUP
NPI 1184672966
Family Medicine in Chicago, IL

Active since May 04, 2006
3401 N CENTRAL AVE, CHICAGO, IL 60634(773) 286-8822(773) 824-4997 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Portage Park Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTAGE PARK MEDICAL GROUP (NPI 1184672966) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since May 2006. The organization lists Richard Ansfield, Director, as its authorized official.

NPPES Registry Identity

NPI1184672966
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORTAGE PARK MEDICAL GROUP
Location Address3401 N CENTRAL AVEChicago, IL 60634-4426
Mailing Address3401 N Central AveChicago, IL 60634-4426 · (773) 286-8822 · Fax (773) 824-4997
Fax(773) 824-4997
Organization SubpartNo
Authorized OfficialRichard AnsfieldDirector · (773) 286-8822
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1184672966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3401 N CENTRAL AVE, Chicago, IL 60634

Other Identifiers 1

Other01635515IL · Blue Cross #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3401 N CENTRAL AVE
CHICAGO, IL 60634
Pediatrics
3401 N CENTRAL AVE
CHICAGO, IL 60634
Physical Therapist
3401 N CENTRAL AVE
CHICAGO, IL 60634
Counselor
3401 N CENTRAL AVE
CHICAGO, IL 60634
Social Worker
3401 N CENTRAL AVE
CHICAGO, IL 60634
Specialist (Research Study)
3401 N CENTRAL AVE
CHICAGO, IL 60634
Clinic/Center (Primary Care)
3401 N CENTRAL AVE
CHICAGO, IL 60634
Clinic/Center (Physical Therapy)
3401 N CENTRAL AVE
CHICAGO, IL 60634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portage Park Medical Group's NPI number?

The NPI number for Portage Park Medical Group is 1184672966. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Portage Park Medical Group located?

Portage Park Medical Group is located at 3401 N Central Ave, Chicago, IL 60634. The listed phone number is (773) 286-8822.

What is Portage Park Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Portage Park Medical Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.